Table 1 Total revenue, administrative costs and net effects of NHI Scenario (MWK million)
Revenue by source / Cost by function | 2017/18 | 2018/19 | 2019/20 | 2020/21 | 2021/22 | |
|---|---|---|---|---|---|---|
Income | 3718.7 | 4131.2 | 4564.2 | 5022.9 | 5514.6 | |
NHI contributions (informal sector)a | 552.9 | 614.3 | 678.7 | 746.9 | 820.0 | |
User feesa | 3165.7 | 3516.9 | 3885.5 | 4276.0 | 4694.6 | |
Cost (by function) | Source/details | 14,182.5 | 10,376.7 | 10,724.2 | 10,843.8 | 11,204.4 |
NHIS membership database | NHIA NHIS database | 7078.5 | 7114.5 | 7269.3 | 7443.6 | 7598.4 |
Quality Assurance | NHIA quality assurance + Purchasing compliance | 326.2 | 333.7 | 354.3 | 377.0 | 399.2 |
NHIS marketing | NHIS communication campaign + NHIA communication staff | 4626.1 | 729.2 | 789.9 | 852.5 | 916.0 |
Contracting with service providers | Purchasing contracting | 301.5 | 315.6 | 330.7 | 345.3 | 370.6 |
Insurance claims management | NHIA claims management | 463.1 | 471.2 | 501.4 | 535.2 | 565.4 |
Other NHI and purchasing functions | NHIA other functions + Purchasing research + Purchasing other functions | 662.3 | 664.2 | 687.6 | 687.0 | 701.6 |
Revenue collection | Formal sector revenue collection (MRA) | 43.0 | 44.2 | 46.2 | 49.9 | 53.7 |
Informal sector revenue collection (NHIA)a | 138.2 | 153.6 | 169.7 | 186.7 | 205.0 | |
Insurance regulator | Insurance regulator | 12.9 | 13.3 | 13.9 | 15.0 | 16.1 |
Health facilities processing NHI claims | 530.6 | 537.4 | 561.3 | 351.7 | 378.4 | |
Cost (million USD) | 18.9 | 13.8 | 14.3 | 14.5 | 14.9 | |
Projected population | 18,431,195 | 18,831,715 | 19,232,229 | 19,632,747 | 20,033,264 | |
Cost per capita (USD) | 1.0 | 0.7 | 0.7 | 0.7 | 0.7 | |
Cost per capita (MWK) | 769.5 | 551.0 | 557.6 | 552.3 | 559.3 | |
Net revenue | −10,463.8 | − 6245.5 | − 6160.0 | − 5820.9 | − 5689.7 | |